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Organization

1 VILLAGE 1 CHILD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PROF. KEITH DALY (OWNER)
(321) 356-9352
Entity
Organization

Contact information

Practice address
2704 REW CIR, OCOEE, FL 34761-2994
(321) 356-9352
(407) 880-3034
Mailing address
PO BOX 364, GOTHA, FL 34734-0364
(321) 356-9352
(407) 880-3034

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
251S00000X
Community/Behavioral Health Agency
Primary
251V00000X
Voluntary or Charitable Agency

Other

Enumeration date
11/07/2008
Last updated
11/07/2008
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